Active NPI
Rodney Paul Gatlin, DC
- Chiropractor
- Azle, TX
National Provider Identifier
1104909209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC7139
- Practice address
- 400 Boyd Court
Azle, TX 76020-4804 - Phone
- (817) 444-4357
- Fax
- (817) 444-0197
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC7139 | TX | Primary |
Addresses
Primary practice location
400 Boyd Court
Azle, TX 76020-4804
Mailing address
400 Boyd Court
Azle, TX 76020-4804
Phone (817) 444-4357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110316000328 | TX | Practitioner - Chiropractic | 1759323421 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
400 Boyd CT
Azle, TX 76020-4804
Phone (817) 444-4357
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC7139 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azle Chiropractic Clinic PC | Chiropractor | Current | Accepting new patients |
Locations
400 Boyd Ct
Azle, TX 76020
Phone (817) 444-4357
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Azle, TX
- NPI 1649381914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104909209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BOYD COURT",
"city": "AZLE",
"state": "TX",
"postal_code": "760204804",
"telephone_number": "817-444-4357",
"fax_number": "817-444-0197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 BOYD COURT",
"city": "AZLE",
"state": "TX",
"postal_code": "760204804",
"telephone_number": "817-444-4357",
"fax_number": "817-444-0197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATLIN",
"first_name": "RODNEY",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC7139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Azle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.